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MR. DANILO SANTIAGO DELA CRUZ

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1992087050

Individual Registrant:
MR. DANILO SANTIAGO DELA CRUZ 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1065 S FORTUNA BLVD  FORTUNA, CA 95540-3010 US
Tel: 707-726-0377  Fax: --

Contact information for business:
833 SPRINGVILLE AVE  FORTUNA, CA 95540-2887 US
Tel: 707-386-5581  Fax: --

Registration Information:
NPI: 1992087050
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
CARPH 60891

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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